Evidence map›Paper›PMID 30065258›Full record

ReviewNature reviews. Cardiology2018

Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty.

Luigi Ferrucci, Elisa Fabbri

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2,157 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,157citing papers in PubMed, 5 pooled it
103.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2,157 citing papers in PubMed, 5 syntheses or guidelines pooled it, 3,318 citations in OpenAlex.

  1. Pooled it
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  4. [Frailty in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Pooled it
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  8. Gut microbes · 2026
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2,097 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Luigi FerrucciTranslational Gerontology Branch, National Institute on Aging, NIH, Baltimore, MD, USA. ferruccilu@mail.nih.gov.
Elisa FabbriDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
National Institute on Aging · USUniversity of Bologna · IT

Funding

The InChianti StudyZIAAG001050 · NIA · NATIONAL INSTITUTE ON AGING · PI FERRUCCI, LUIGI · 2009 to 2025
$2.1M
Biomarkers of Homestatic Dysregulation in Aging and Chronic DiseaseZIAAG000971 · NIA · NATIONAL INSTITUTE ON AGING · PI FERRUCCI, LUIGI · 2009 to 2025
$1.9M
Intramural NIH HHS Z99 AG999999
6 · The paper itself

Abstract

Most older individuals develop inflammageing, a condition characterized by elevated levels of blood inflammatory markers that carries high susceptibility to chronic morbidity, disability, frailty, and premature death. Potential mechanisms of inflammageing include genetic susceptibility, central obesity, increased gut permeability, changes to microbiota composition, cellular senescence, NLRP3 inflammasome activation, oxidative stress caused by dysfunctional mitochondria, immune cell dysregulation, and chronic infections. Inflammageing is a risk factor for cardiovascular diseases (CVDs), and clinical trials suggest that this association is causal. Inflammageing is also a risk factor for chronic kidney disease, diabetes mellitus, cancer, depression, dementia, and sarcopenia, but whether modulating inflammation beneficially affects the clinical course of non-CVD health problems is controversial. This uncertainty is an important issue to address because older patients with CVD are often affected by multimorbidity and frailty - which affect clinical manifestations, prognosis, and response to treatment - and are associated with inflammation by mechanisms similar to those in CVD. The hypothesis that inflammation affects CVD, multimorbidity, and frailty by inhibiting growth factors, increasing catabolism, and interfering with homeostatic signalling is supported by mechanistic studies but requires confirmation in humans. Whether early modulation of inflammageing prevents or delays the onset of cardiovascular frailty should be tested in clinical trials.

Indexed as

AgingCardiovascular DiseasesChronic DiseaseFrailtyInflammationAdultAgedAged, 80 and overAnimalsFrail ElderlyHumansMiceMiddle Aged

Identifiers

PMID30065258
PMCPMC6146930
OpenAlexW2885738092

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.